Uterine Artery Embolization
Ahmet Burak Kara1
Ömer Faruk Ateş2
1Gaziantep City Hospital, Department of Radiology, Gaziantep, Türkiye
2Private Adatıp Hospital, Department of Radiology, Sakarya, Türkiye
Kara AB, Ateş ÖF. Uterine Artery Embolization. Yavuz AF, ed. Myoma Uteri. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.111-115.
ABSTRACT
One trustworthy and effective therapy option is uterine artery embolization (UAE) that has been in use for nearly thirty years. Pre-procedure evaluation and planning, appropriate patient selection are important in uterine artery embolization, as in almost every procedure. Knowing the indications and contraindications and detecting target lesions both increase the effectiveness of this method and facilitate follow-up. US and MRI examinations are the basic modalities in pre-and post-procedure evaluation. Before the procedure, it can be understood with US examination whether the patient’s symptoms are caused by myomas. Symptomatic fibroids can be carefully measured and evaluated to assess the effectiveness of this procedure. Furthermore,determining contraindications is also important, and with the detection of pregnancy, pelvic infection and malignancies, UAE procedure can be canceled and surgical method can be selected. After the procedure, US follow-up is recommended for both monitoring complications and observing the success of the procedure. Collaboration between gynecology and interventional radiology branches can increase both patient and physician satisfaction. The probable success of jointly conducted treatment processes will be higher.
Keywords: Leiomyoma; Uterine artery embolization; İnterventional radiology; Embolization
Kaynak Göster
Referanslar
- Ravina JH, Herbreteau D, Ciraru-Vigneron N, et al. Arterial embolisation to treat uterine myomata. Lancet 1995;346:671-672. [Crossref] [PubMed]
- Hutchins FL Jr, Worthington-Kirsch R, Berkowitz RP. Selective uterine artery embolization as primary treatment for symptomatic leiomyomata uteri. J Am Assoc Gynecol Laparosc 1999;6:279-284. [Crossref] [PubMed]
- McLucas B, Adler L, Perrella R. Uterine fibroid embolization: nonsurgical treatment for symptomatic fibroids. J Am Coll Surg 2001;192:95-105. [Crossref] [PubMed]
- Spies JB, Ascher SA, Roth AR, Kim J, Levy EB, Gomez-Jorge J. Uterine artery embolization for leiomyomata. Obstet Gynecol 2001;98:29-34. [Crossref] [PubMed]
- Walker WJ, Pelage JP. Uterine artery embolisation for symptomatic fibroids: clinical results in 400 women with imaging follow up. BJOG 2002;109: 1262-1272. [Crossref] [PubMed]
- Pron G, Bennett J, Common A, Wall J, Asch M, Sniderman K. The Ontario Uterine Fibroid Embolization Trial. II. Uterine fibroid reduction and symptom relief after uterine artery embolization for fibroids. Fertil Steril 2003;79:120-127. [Crossref] [PubMed]
- Ravina J, Ciraru-Vigneron N, Aymard A, Ferrand J, Merland J. Uterine artery embolisation for fibroid disease: results of a 6-year study. Minim Invas Ther Allied Technol 1999;8:441-447. [Crossref]
- Ghai, S., Rajan, D. K., Benjamin, M. S., Asch, M. R., & Ghai, S. (2005). Uterine artery embolization for leiomyomas: pre-and postprocedural evaluation with US. Radiographics, 25(5), 1159-1172. [Crossref] [PubMed]
- Ascher SM, Arnold LL, Patt RH, et al. Adenomyosis: prospective comparison of MR imaging and transvaginal sonography. Radiology 1994; 190:803-806. [Crossref] [PubMed]
- Lev-Toaff AS, Toaff ME, Liu JB, Merton DA, Goldberg BB. Value of sonohysterography in the diagnosis and management of abnormal uterine bleeding. Radiology 1996;201:179-184. [Crossref] [PubMed]
- Becker E Jr, Lev-Toaff AS, Kaufman EP, Halpern EJ, Edelweiss MI, Kurtz AB. The added value of transvaginal sonohysterography over transvaginal sonography alone in women with known or suspected leiomyoma. J Ultrasound Med 2002;21: 237-247. [Crossref] [PubMed]
- Fedele L, Bianchi S, Dorta M, Brioschi D, Zanotti F, Vercellini P. Transvaginal ultrasonography versus hysteroscopy in the diagnosis of uterine submucous myomas. Obstet Gynecol 1991;77:745-748. [Link]
- Hovsepian DM, Siskin GP, Bonn J, et al. Quality improvement guidelines for uterine artery embolization for symptomatic leiomyomata. J Vasc Intervent Radiol 2004;15:535-541. [Link]
- Marret H, Alonso AM, Cottier JP, Tranquart F, Herbreteau D, Body G. Leiomyoma recurrence after uterine artery embolization. J Vasc Intervent Radiol 2003;14:1395-1399. [Crossref] [PubMed]
- Joyce A, Hessami S, Heller D. Leiomyosarcoma after uterine artery embolization: a case report. J Reprod Med 2001;46:278-280. [Link]
- Costantino M, Lee J, McCullough M, NsouliMaktabi H, Spies JB. Bilateral versus unilateral femoral access for uterine artery embolization: results of a randomized comparative trial. J Vasc Interv Radiol 2010;21(6):829-835. [Crossref] [PubMed]
- Goodwin SC, Vedantham S, McLucas B, Forno AE, Perrella R. Preliminary experience with uterine artery embolization for uterine fibroids. J Vasc Intervent Radiol 1997;8:517-526. [Crossref] [PubMed]
- Worthington-Kirsch RL, Popky GL, Hutchins FL Jr. Uterine arterial embolization for the management of leiomyomas: quality-of-life assessment and clinical response. Radiology 1998;208:625-629. [Crossref] [PubMed]
- Weintraub JL, Romano WJ, Kirsch MJ, Sampaleanu DM, Madrazo BL. Uterine artery embolization: sonographic imaging findings. J Ultrasound Med 2002;21:633-637. [Crossref] [PubMed]
- Joseph FB, Baumgarten DA, Bernardino ME. Hepatocellular carcinoma: CT appearance after percutaneous ethanol ablation therapy-work in progress. Radiology 1993;186:553-556. [Crossref] [PubMed]
- Kim SK, Lim HK, Kim YH, et al. Hepatocellular carcinoma treated with radio frequency ablation: spectrum of imaging findings. RadioGraphics 2003;23:107-121. [Crossref] [PubMed]
- Tranquart F, Brunereau L, Cottier JP, et al. Prospective sonographic assessment of uterine artery embolization for the treatment of fibroids. Ultrasound Obstet Gynecol 2002;19:81-87. [Crossref] [PubMed]
- Nott V, Reidy J, Forman R, Braude P. Complications of fibroid embolisation. Minim Invas Ther Allied Technol 1999;8:421-424. [Crossref]
- Goodwin SC, Wong GC. Uterine artery embolization for uterine fibroids: a radiologist's perspective. Clin Obstet Gynecol 2001;44:412-424. [Crossref] [PubMed]
- Pinto I, Chimeno P, Romo A, et al. Uterine fibroids: uterine artery embolization versus abdominal hysterectomy for treatment-a prospective, randomized, and controlled clinical trial. Radiology 2003;226:425-431. [Crossref] [PubMed]
- Rajan DK, Beecroft JR, Clark TW, et al. Risk of intrauterine infectious complications after uterine artery embolization. J Vasc Intervent Radiol 2004; 15:1415-1421. [Crossref] [PubMed]
- Godfrey CD, Zbella EA. Uterine necrosis after uterine artery embolization for leiomyoma. Obstet Gynecol 2001;98:950-952. [Crossref] [PubMed]
- Payne JF, Robboy SJ, Haney AF. Embolic microspheres within ovarian arterial vasculature after uterine artery embolization. Obstet Gynecol 2002; 100:883-886. [Crossref] [PubMed]
- Chrisman HB, Saker MB, Ryu RK, et al. The impact of uterine fibroid embolization on resumption of menses and ovarian function. J Vasc Intervent Radiol 2000;11:699-703. [Crossref] [PubMed]